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General NPI Number Information
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NPI Number | 1518169010
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Entity Type | Organization
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Legal Business Name | A&H STORES INC.
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 730 12TH ST SE
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City | AUBURN
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State | WA
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Zip | 98002-6708
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Country | US
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Telephone | 425-255-7083
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 MAPLE AVE SW
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City | RENTON
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State | WA
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Zip | 98055-3119
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Country | US
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Telephone | 425-255-7083
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | STACEY HENDRICKSON
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Credential |
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Telephone | 425-255-7083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | CF00001357
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License Number State | WA
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